Deficiency Records for Emerald Hills Rehabilitation and Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Emerald Hills Rehabilitation and Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-01-10 | 2023-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-10 | 2023-02-03 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-01-12 | 2023-01-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-01-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-12 | 2023-01-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-12 | 2023-01-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-12 | 2023-01-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-01-10 | 2023-01-11 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-01-10 | 2023-01-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-10 | 2023-01-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-01 | 2022-09-02 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-09-01 | 2022-09-02 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-07-28 | 2022-08-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-01 | 2022-06-29 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-28 | 2022-03-31 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-03-28 | 2022-03-31 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-01-24 | 2022-01-31 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-01-24 | 2022-01-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-01-24 | 2022-01-31 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-03 | 2021-12-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-11-03 | 2021-12-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-03 | 2021-12-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-03 | 2021-12-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-03 | 2021-12-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-04 | 2021-12-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-03 | 2021-12-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-03 | 2021-11-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-06-20 | 2019-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-20 | 2019-07-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-20 | 2019-07-19 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-06-21 | 2019-06-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-21 | 2019-06-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-21 | 2019-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-21 | 2019-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-21 | 2019-06-22 | N |
